Habitat 2020 Registration Form

CWF’s Habitat 2020 program is a wildlife education initiative for all grades, all subjects and all ages. Fill out the form online or e-mail it to habitat2020@cwf-fcf.org; subject line “Habitat2020”. Incomplete applications will be returned so that the required information can be added.

The habitat education project must demonstrate youth initiative in all phases of a project to ensure that educational objectives are met.

By submitting your form:

You declare that you have permission for your project and will ensure that the project is properly supervised;

You acknowledge that if the request for funds is approved by CWF, your group will provide a follow up written report within one year of completing the habitat project with corresponding pictures, videos and media coverage.

You agree to use the CWF logo on promotional materials, according to the usage standards provided to successful applicants

Part A

Fill out this form if you want to register your habitat improvement project and be eligible for an acknowledgement of contribution to wildlife habitat conservation in Canada.

CONTACT INFORMATION

*Name of School/Group/ Organization

*Number and Street

*City/Town

*Province/Territory

*Postal Code

Yes, I would like to receive postal mail from this organization.

*Phone

*Email

Yes, I would like to receive email from this organization.

Preferred Format

*Full name of teacher/leader surpervising the habitat education project(s)

HABITAT EDUCATION CAN BE INFUSED IN ALL GRADES, ALL SUBJECTS AND ALL AGES.

INNOVATION IS ENCOURAGED, SO YOU ARE WELCOME TO EXPLORE BROAD APPROACHES TO LEARNING ABOUT WILDLIFE

Food

Shelter

Water

Space

DESCRIBE HOW YOUR PROJECT WILL IMPROVE WILDLIFE HABITAT AND HOW WILDLIFE WILL BENEFIT OR HOW IT WILL IMPROVE AN UNDERSTANDING OF THESE ISSUES.

DESCRIBE HOW STUDENTS WILL BE INVOLVED IN THE PROJECT.

DESCRIBE WHAT LEARNING OUTCOMES WILL BE ACHIEVED BY DOING THIS PROJECT.

SPECIES OF WILDLIFE PRIMARILY ADDRESSED THROUGH YOUR PROJECT (CHECK MORE THAN ONE IF APPLICABLE)

Birds Fish Mammals Insects Reptiles Native Plants Amphibians Other

If you selected "Other", please specify:

CHECK OFF THE BEST DESCRIPTION(S) OF YOUR PROJECT (CHECK MORE THAN ONE IF APPLICABLE)

Urban Rural Shoreline Other

If you selected "Other", please specify:

AREA MEASUREMENTS OF PROJECT (IF APPLICABLE)

Sq. feet Acres Metres Kms

CWF OCCASIONALLY FEATURES OUTSTANDING PROJECTS IN ITS MAGAZINES, NEWSLETTERS, WEBSITES AND OTHER PROMOTIONAL MATERIALS. I AUTHORIZE THE CANADIANWILDLIFE FEDERATION TO USE INFORMATION AND PHOTOGRAPHS PROVIDED IN FUTURE RESOURCE PUBLICATIONS.

Yes No

Part B Please note there will be no funding round for Fall 2014 and Spring2015

Fill out this section and part A to request funding for your habitat education project to a maximum of $500.

Expenses

ITEMS (DETAILED LIST OF SUPPLIES, PLANTS, UNITS PRICE & QUANTITY)

Total Costs

$

Total Cost Requested

$

FUNDS FROM OTHER SOURCES.

IF YOU USE CWF’S FUNDRAISING PROGRAM YOU MAY REQUEST AN ADDITIONAL GRANT

Name of Organization & Amount

Total amount from other sources

$

By submitting this form I declare that the information is accurate and that I have the authority to register this on behalf of the organization. If this application is submitted by a school I declare that the principal has authorized this submission.